B-2017-1541 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-1541
10276 VIRGINIA SWAN PL CUPERTINO;CA 95014-2025(316 46 003) BRIAN O'MAOINAGH
CONSTRUCTION INC
SAN JOSE,CA 95118
OWNER'S NAME:
PHONE NO:(408)207-2526
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class J3 Lic.#1029648
Contractor BRIAN O'MAOINAGH CONSTRUCTION INC Date,08/31/2019 X BLDG X ELECT _PLUMB
MECH X RESIDENTIAL COMMERCIAL
I hereby affirm that I am licensed under the provisions of Chapter 9(commencing
with Section 7000)of Division 3 of the Business&Professions Code and that my
license is in full force and effect. JOB DESCRIPTION:
KITCHEN REMODEL(150 S.F.);HALLWAY AND MASTER
I hereby affirm under penalty of perjury one of the following two declarations: BEDROOM BATHROOM REMODEL(70 S.F.);PANEL UPGRADE(200
1. I have and will maintain a certificate of consent to self-insure for Worker's AMPS)
smpensation,as provided for by Section 3700 of the Labor Code,for the REV#1-CHANGE PANEL UPGRADE FROM 200 AMPS TO 100 AMPS
w y: .erformance of the work for which this permit is issued. (LIKE FOR LIKE)-ISSUED 11/9/20.17
*w* I have and will maintain Worker's Compensation Insurance,as provided for by
Section 3700 of the Labor Code,for the performance of the work forwhich this
permit is issued. Sq.Ft Floor Area: Valuation:$49000.00
•
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above
information is correct.I agree to comply with all city and county ordinances APN Number: Occupancy Type:
and state laws relating to building construction,and hereby authorize 316 46 003
representatives of this city to enter upon the above mentioned property for
inspection purposes. (We)agree to save indemnify and keep harmless the
City of Cupertino against liabilities,judgments,costs,and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED
may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR
Additionally,the applicant understands and will comply with all non-point
source regulations per the Cupertino Municipal� Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
01,gnature 1/
Date 9(/ / /7"-- Issued by:Abby Ayende
111 Date:09/12/2017
OWNER-BUILDER DECLARATION •
I hereby affirm that 1 am exempt from the Contractor's License Law for one of the RE-ROOFS:
following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is
1. I,as owner of the property,or my employees with wages as their sole installed without first obtaining an inspection,I agree to remove all new materials for
compensation,will do the work,and the structure is not intended or offered for inspection.
sale(Sec.7044,Business&Professions Code)
2. I,as.owner of the property,am exclusively contracting with licensed Signature of Applicant:
•
contractorsto construct the project(Sec.7044,Business&Professions Code). Date:
I hereby affirm under penalty`of perjury one of the following three declarations: ,
ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
1. I have andwill maintain a'Certificate of Consent to self-insure for Worker's •
Compensation,as provided for by Section 3700 of the Labor Code,for the
performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE
2. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the
Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will
maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
permit is Issued: Health&Safety Code,Section 25532(a).should I store or handle hazardous
a. I certify that in the performance of the work for which this permit is issued,I material. Additionally,should I use equipment or devices which emit hazardous
shall not employ any person in any manner so as to become subject to the air contaminants as defined by the Bay Area Air Quality Management District I
Worker's Compensation laws of California. If,after making this certificate bf will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and
exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Sections 25505,25533,and 25534.
Labor Code,I must forthwith comply with such provisions or this permit shall
be deemed revoked. caner or authorized agent: .//
APPLICANT CERTIFICATION . Date:
I certify that I have read this application and state that the above information is - CONSTRUCTION LENDING AGENCY
correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance
relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C.)
to enter upon the.above'mentioned property for inspection purposes. (We)agree Lender's Name
to save indemnify and keep.harmless the City of Cupertino against liabilities,
judgments,costs;and,ezpen:se's which may accrue against said City in Lender's Address
consequence of thelsranting of,this permit. Additionally,the applicant understands •
and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION
Code,Section 9.18. I understand my plans shall be used as public records.
Licensed
Signature Date Professional
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-1541
10276 VIRGINIA SWAN PL CUPERTINO,CA 95014-2025(316 46 003) BRIAN O'MAOINAGH
CONSTRUCTION INC
SAN JOSE,CA 95118
OWNER'S NAME:
PHONE NO:(408)207-2526
,LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class B Lip.#1029648
Contractor BRIAN O'MAOINAGH CONSTRUCTION INC Date 08/31/2019 X BLDG X ELECT _PLUMB
MECH X RESIDENTIAL_COMMERCIAL
I hereby affirm that I am licensed under the provisions of Chapter 9(commencing
with Section 7000)of Division 3 of the Business&Professions Code and that my
license is in full force and effect. JOB DESCRIPTION:
KITCHEN REMODEL(150 S.F.);HALLWAY AND MASTER
I hereby affirm under penalty of perjury one of the following two declarations: BEDROOM BATHROOM REMODEL(70 S.F.);PANEL UPGRADE(200
1. I have and will maintain a certificate of consent to self-insure for Worker's AMPS)
Compensation,as provided for by Section 3700 of the Labor Code,for the
erformance of the work for which this permit is issued.
dizoth
ave and1will maintain Worker's Compensation Insurance,as provided for by
Section 3700 of the Labor Code,for the performance of the work for which this
j/ permit is issued. Sq.Ft Floor Area: Valuation:$49000.00
APPLICANT CERTIFICATION .
I certify that I have:read this application and state that the above
information is correct.I agree to comply with all city and county ordinances APN Number: Occupancy Type:
and state laws relating to building construction,and hereby authorize 316 46 003
representatives of this city to enter upon the above mentioned property for
inspection purposes.! (We)agree to save•indemnify and keep harmless the
City of Cupertino against liabilities,judgments,costs,and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED
maylaccrue againstlsaid City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR
Additionally,the applicant understands and will comply with all non-point
source regulations per the Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
d:r.gnature //
I hereby affirm thatl'ana exempt from the Contractor's License Law for one of the RE-ROOFS:
following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is
2. I,as owner of the property,or my employees with wages as their sole installed without first obtaining an inspection,I agree to remove all new materials for
compensation,will do the work,and the structure is not intended or offered for inspection.
sale(Sec.7044,Business&Professions Code)
2. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant:
contractors to construct the project(Sec.7044,Business&Professions Code). Date:9/12/2017
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
1. I have and will maintain-a Certificate of Consent to self-insure for Worker's
Compensation,as provided for by Section 3700 of the Labor Code,for the
performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE
2. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the
Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. .I will
permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
3. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous
shall not employ any person in any manner so as to become subject to the material. Additionally,should I use equipment or devices which emit hazardous
air contaminants as defined by the Bay Area Air Quality Management District I
Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and
exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Sections 25505,25533,and 25534.
Labor Code,I must forthwith comply with such provisions or this permit shall
-
relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C.)
to enter.upon the above mentioned property for inspection purposes. (We)agree Lender's Name
to save indemnify and keep harmless the City of Cupertino against liabilities,
judgments,costs,and expenses which may accrue against said City in • Lender's Address
•consequence of the granting of this permit. Additionally,the applicant understands
and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION
Code,Section 9.18. I understand my plans shall be used as public records.
Licensed •
Signature • Date 9/12/2017Professional